Higher Order Cortical Functions - Left and Right Hemisphere Flashcards

1
Q

In general, language functions are lateralized to the __ hemisphere

A

Left

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2
Q

The left hemisphere is better at

A

Linguistic processing
Local processing

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3
Q

The right hemisphere is better at

A

Paralinguistic processing
Facial recognition
Visuospatial processing
Global processing

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4
Q

What are split brain studies?

A

Studies that are performed on people that had the hemispheres split at corpus callosum to look at functions of the hemispheres
Split brain is typically done to treat epilepsy

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5
Q

Visual information presented to the left visual field goes to the ____ hemisphere

A

Right
Same for tactile information

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6
Q

What do split brain studies reveal about L/R brain function?

A

Lateralized nature of brain function
Verbal processing of information in the left visual field is hard to verbalize because the information cannot cross over to the right side of the brain for lang production

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7
Q

How were hemispheric differences originally identified?

A

Experimental tasks

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8
Q

What are dichotic listening tasks?

A

Different words are presented to both ears simultaneously
Expect the right ear to have an advantage because that will project information to the left hemisphere which is better at processing verbal information

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9
Q

Majority of auditory information is distributed to the ____ hemisphere

A

Contralateral

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10
Q

What experimental tasks have a left ear advantage?

A

Identifying song/tune

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11
Q

What experimental tasks have a right ear advantage?

A

Identifying letters, words

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12
Q

Both hemispheres process local and global information but differ in ___

A

efficiency

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13
Q

Left hemisphere is faster processing ____ while right hemisphere is faster at processing ____

A

Left: local
Right: global

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14
Q

Patients with left hemisphere lesions are slower at IDing ___ targets while those with right hemisphere lesions are slower at IDing ___ targets

A

Left lesion: local targets
Right lesion: global targets

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15
Q

Left hemisphere damage leads to

A

Aphasia
Associated with L MCA strokes

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16
Q

Left hemisphere damage effect on language

A

Impairment of language comprehension and production that affects all modalities of language (listening, speaking, reading, writing)

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17
Q

What is anomia?

A

From left hemisphere damage
Difficulty retrieving word

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18
Q

What is apraxia?

A

Difficulty sequencing motor movements (motor planning/programming problem)

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19
Q

Right hemisphere disorders can be heterogeneous. What does this mean?

A

Don’t always display all the characteristics

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20
Q

Right hemisphere disorders causes

A

Prosopagnosia: Difficulty IDing faces
Difficulty expressing (flat affect)
Prosodic deficit: montone, lack of prosody, miss differences from different stress (suprasegmental information)

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21
Q

Discourse deficits from right hemisphere disorder

A

Egocentric, verbose (using more words than needed), confabulate (trying to make sense of things)
Difficulty with turn taking

22
Q

Comprehension deficits with right hemisphere disorder

A

Inferencing deficits (focus on details, no big picture)
Difficulty with sarcasm, idioms, literal interpretations
Difficulty with figurative language

23
Q

What is hemispatial neglect?

A

Occurs with right hemisphere disorder
Difficulty attending to objects, people, body parts on contralateral side
Called left neglect

24
Q

Where does damage typically occur with hemispatial neglect?

A

Right paretial-temporal-occipital area

25
What is egocentric hemineglect?
Related to own body
26
What is allocentric hemineglect?
External to the person, representation of things outside them
27
Does hemispatial neglect tend to recover?
Yes it tends to recover with time, not everyone recovers though
28
What are constructional impairments?
Neglect left side when copying drawings Turn 3D to 2D, crowd objects/letters, displace to right of page
29
What is anosognosia?
Impaired awareness of deficits or how those deficits impact daily functioning Inability to recognize that they have a problem
30
What is the frontal lobe responsible for? When does it mature?
Restraint, Initiative, Order 20s
31
What are the three surfaces of the frontal lobe?
Lateral Medial Orbitofrontal
32
What is the lateral frontal lobe responsible for?
Movement
33
What areas are part of the lateral frontal lobe?
Primary motor cortex Premotor cortex Supplementary motor cortex Frontal eye fields
34
The corticospinal system projects to
Medial and superior portion of precentral gyrus
35
The corticonuclear system projects to
Lateral portion of precentral gyrus
36
What is the function of the frontal eye fields?
Sends signals for eye movements Saccades
37
Flow of motor movement planning and sequences
Posterior cortex provides sensory information to frontal Prefrontal cortex plans movements Premotor cortex organizes movement sequences Motor cortex produces specific movements
38
If a movement is relatively simple, the ____ and ___ cortex execute the action
Motor
39
If planning is required, the ____ cortices are involved
Prefrontal
40
More concentration for movement leads to ___ areas of the brain being activated for planning and execution
More
41
What areas are a part of the lateral frontal lobe?
Anything anterior to the motor areas
42
What are the functions of the lateral frontal lobe- prefrontal cortex?
Planning and problem solving Attention Keeping track (WM) and organizing Emotional control Social cognition
43
What are the causes of prefrontal cortex deficits?
Trauma, stroke, hydrocephalus, meningiomas, gliomas, infectious disorders, demyelinating disorder, degenerative diseases, psychological disorders, developmental disorders
44
What is the orbitofrontal cortex responsible for?
Impulse control Maintenance of a goal Monitoring ongoing and socially appropriate behaviors Evaluating emotional experiences Comparing expected reward/punishment with actual reward/punishment
45
Orbitofrontal damage leads to
Poor decision making Impulsivity and disinhibition Perseveration Socially inappropriate/tactless Impaired insight, empathy, and remorse
46
The medial frontal cortex contains
Cingulate gyrus Micturition
47
What is the function of the anterior cingulate gyrus?
Part of limbic system Connects emotional and cognitive, motivated attention
48
What is the function fo the posterior cingulate gyrus?
Motivated movement
49
What is the function of the micturition?
Sends signals to brainstem that the bladder is full
50
What happens with medial cortex damage?
Psychiatric: depression, OCD, schizophrenia Apathy: loss of motivation and reduced goal-directed activities Akinetic mutism: don't speak, no motivation for anything, apathetic